The man had a history of five-day self-limiting febrile syndrome and rash in the end of January into early February. Zika virus (ZIKV) infection was diagnosed in Haiti by ZIKV-specific IgM serology four days after symptom onset. He returned to Italy 14 days after symptom onset.

Testing of convalescent sera taken 91 and 134 days after symptom onset were ZIKV real-time RT-PCR negative. On day 91, the test was positive for urine, saliva and semen samples.

On day 134, only a semen sample was positive. At the subsequent follow-up, on day 188, a semen sample was again positive; the patient is still under evaluation.

The man suffered no chronic disease or immunodeficiency. During this period, the man used condoms in relations with his wife who has tested negative for the virus.

The European Centre for Disease Prevention and Control and the World Health Organization recommend that all travelers returning from areas with ongoing ZIKV transmission should adopt safer sex practices or consider abstinence for at least eight weeks after their return; if men have ZIKV-related symptoms, they should adopt safer sex practices or consider abstinence for at least six months.

The bacteria and viruses will become more virulent and once they start attacking, I don’t think we can hide. Only option is to identify clusters and isolate them to prevent spread. https://www.youtube.com/watch?v=IiIASkqlhj4